Wiesen, Ari Jay

Wiesen, Ari Jay is an individual health care provider with primary practice located at 6770 Mayfield Rd Ste 415 , Mayfield Hts OH 44124-2299. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wiesen, Ari Jay can be contacted via phone (440) 461-2550.

Contact Information

Primary practice address
6770 Mayfield Rd Ste 415 Mayfield Hts OH 44124-2299
Fax: (440) 461-3497
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D72366 Maryland
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.099505 Ohio

Profile Details

NPI number 1780851444
LBN Legal business name Wiesen, Ari Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Jun 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780851444 NPPES
Maryland Other S062-0432 CAREFIRST BC/BS - REGIONAL
Maryland MEDICAID 440207300 CAREFIRST BC/BS - REGIONAL
Maryland Other 974421-01 CAREFIRST BC/BS - REGIONAL

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